| Beloit Health System, Inc | |
|
1905 E Huebbe Pkwy Beloit WI 53511-1842 | |
| (608) 364-1615 | |
| Not Available |
| Full Name | Beloit Health System, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1905 E Huebbe Pkwy, Beloit, Wisconsin |
| Authorized Official Name and Position | Julia Egebrecht (DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 6083641615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beloit Health System, Inc 1905 E Huebbe Pkwy Beloit WI 53511-1842 Ph: (608) 364-2200 | Beloit Health System, Inc 1905 E Huebbe Pkwy Beloit WI 53511-1842 Ph: (608) 364-1615 |
| NPI Number | 1679616361 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 8224947858 |
|---|---|
| Medicare Enrollment ID | O20031215000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679616361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Robert G Teehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366522393 PECOS PAC ID: 5294633384 Enrollment ID: I20031229000210 |
| Provider Name | Margaret M Lowery |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1790885234 PECOS PAC ID: 7214839646 Enrollment ID: I20040124000360 |
| Provider Name | Rory F Miranda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922180751 PECOS PAC ID: 1254223803 Enrollment ID: I20040327000259 |
| Provider Name | Judith M Warnke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063733087 PECOS PAC ID: 0941297147 Enrollment ID: I20040429000182 |
| Provider Name | Kathleen M Klespis Wick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992713937 PECOS PAC ID: 6608865209 Enrollment ID: I20040510000358 |
| Provider Name | Stephen R Rudisill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013925775 PECOS PAC ID: 8123017746 Enrollment ID: I20040510000478 |
| Provider Name | Francis J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073598322 PECOS PAC ID: 5698748069 Enrollment ID: I20040813000998 |
| Provider Name | Albert L Wiley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639152325 PECOS PAC ID: 2264427665 Enrollment ID: I20040816000119 |
| Provider Name | Tsu-hon Wang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457369498 PECOS PAC ID: 8224002852 Enrollment ID: I20040820000451 |
| Provider Name | Daniel C Sellman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548325616 PECOS PAC ID: 5698735777 Enrollment ID: I20041013000624 |
| Provider Name | Anwer A Dhala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932178407 PECOS PAC ID: 6608760517 Enrollment ID: I20050613001199 |
| Provider Name | Lakesha Y Lawrence |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700949971 PECOS PAC ID: 0840216834 Enrollment ID: I20051019000431 |
| Provider Name | Kasra A Milani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124089750 PECOS PAC ID: 7911927306 Enrollment ID: I20051130000446 |
| Provider Name | Eugene A Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558406637 PECOS PAC ID: 3870513906 Enrollment ID: I20051202000705 |
| Provider Name | Richard T Weirich |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528113214 PECOS PAC ID: 7012930670 Enrollment ID: I20060110000236 |
| Provider Name | Maria M Poplawska Goetzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083752398 PECOS PAC ID: 0547278251 Enrollment ID: I20060322000285 |
| Provider Name | Nabeel M Beg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771069 PECOS PAC ID: 5597786681 Enrollment ID: I20060818000330 |
| Provider Name | Beth J Yount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407816853 PECOS PAC ID: 5597868588 Enrollment ID: I20070313000016 |
| Provider Name | Lisa S Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992850903 PECOS PAC ID: 5496859324 Enrollment ID: I20070402000396 |
| Provider Name | Christopher Conrad Gianvecchio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801804844 PECOS PAC ID: 2264344779 Enrollment ID: I20070405000090 |
| Provider Name | Jackky Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093744617 PECOS PAC ID: 0042319535 Enrollment ID: I20070625000381 |
| Provider Name | Glenn Anthony A Tan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689692410 PECOS PAC ID: 7618971458 Enrollment ID: I20070808000254 |
| Provider Name | Peter H Marks |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558327320 PECOS PAC ID: 2163410762 Enrollment ID: I20070817000258 |
| Provider Name | Laeeq S Shamsuddin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568524312 PECOS PAC ID: 0244322360 Enrollment ID: I20070822000198 |
| Provider Name | Moshood A Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457559296 PECOS PAC ID: 7416044664 Enrollment ID: I20071105000141 |
| Provider Name | Charles F Kind |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245246198 PECOS PAC ID: 4486744364 Enrollment ID: I20071214000720 |
| Provider Name | Kenneth L Klein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881681294 PECOS PAC ID: 8527143429 Enrollment ID: I20080317000066 |
| Provider Name | Monica Freeman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184802472 PECOS PAC ID: 2163509522 Enrollment ID: I20080409000381 |
| Provider Name | Jayant V Hirpara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912165846 PECOS PAC ID: 5193899813 Enrollment ID: I20080729000676 |
| Provider Name | Andrea D Boeckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194882514 PECOS PAC ID: 2365518073 Enrollment ID: I20080903000664 |
| Provider Name | Barbara J Higgins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497776090 PECOS PAC ID: 0345317863 Enrollment ID: I20080925000497 |
| Provider Name | Robert M Sage |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871523316 PECOS PAC ID: 8224939236 Enrollment ID: I20081111000327 |
| Provider Name | Lisa G Reinicke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427074541 PECOS PAC ID: 0648339267 Enrollment ID: I20081111000399 |
| Provider Name | Annabelle Tolentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275566366 PECOS PAC ID: 8123936028 Enrollment ID: I20081218000709 |
| Provider Name | Leo C Egbujiobi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972679355 PECOS PAC ID: 2567525439 Enrollment ID: I20090120000688 |
| Provider Name | Christel A Tecarro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235244849 PECOS PAC ID: 9234194507 Enrollment ID: I20090122000384 |
| Provider Name | Mark D Plumb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821061367 PECOS PAC ID: 3779648787 Enrollment ID: I20090206000479 |
| Provider Name | Omer Sharif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518066562 PECOS PAC ID: 1153478144 Enrollment ID: I20090408000473 |
| Provider Name | Abraham R Rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326155870 PECOS PAC ID: 3173607207 Enrollment ID: I20090609000270 |
| Provider Name | Leighton C Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811915085 PECOS PAC ID: 6800949652 Enrollment ID: I20090728000105 |
| Provider Name | Rafal G Ciecierski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093916595 PECOS PAC ID: 2163577586 Enrollment ID: I20090908000264 |
| Provider Name | William C Hofmann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306844949 PECOS PAC ID: 7214093368 Enrollment ID: I20090909000751 |
| Provider Name | Emmanuel O Nwadike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962686485 PECOS PAC ID: 1456407618 Enrollment ID: I20090914000503 |
| Provider Name | Kenneth I Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891703559 PECOS PAC ID: 3476692518 Enrollment ID: I20091202000282 |
| Provider Name | Ajmal A Matloob |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417064965 PECOS PAC ID: 5395885123 Enrollment ID: I20091229000493 |
| Provider Name | Robert R Lisek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639187677 PECOS PAC ID: 5092856344 Enrollment ID: I20100108000097 |
| Provider Name | Alan J Rehbein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174531834 PECOS PAC ID: 7517008865 Enrollment ID: I20100108000125 |
| Provider Name | Mario R Rojas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326151002 PECOS PAC ID: 1355253865 Enrollment ID: I20100109000233 |
| Provider Name | Michael A Donnelly |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831107671 PECOS PAC ID: 6800984725 Enrollment ID: I20100109000258 |
| Provider Name | Maria E Taveras |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184632127 PECOS PAC ID: 4880735091 Enrollment ID: I20100111000363 |
| Provider Name | Ronald L Ragotzy |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1295890630 PECOS PAC ID: 3375684202 Enrollment ID: I20100113000917 |
| Provider Name | Alice M Townshend |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437169752 PECOS PAC ID: 0941342547 Enrollment ID: I20100120000485 |
| Provider Name | Marek S Bentkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437167277 PECOS PAC ID: 7113069725 Enrollment ID: I20100120000507 |
| Provider Name | Dimitrios Fanopoulos |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326056094 PECOS PAC ID: 6406999473 Enrollment ID: I20100130000239 |
| Provider Name | Tejesh N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447268487 PECOS PAC ID: 2264520188 Enrollment ID: I20100224000336 |
| Provider Name | Lisa M Kosmicki |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1770814691 PECOS PAC ID: 4486789591 Enrollment ID: I20100315000640 |
| Provider Name | Krsysztof Goetzen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366450397 PECOS PAC ID: 8426183344 Enrollment ID: I20100317000888 |
| Provider Name | Pawel Olszewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679582043 PECOS PAC ID: 9537071048 Enrollment ID: I20100319000030 |
| Provider Name | Cheryl M Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619076577 PECOS PAC ID: 7214026087 Enrollment ID: I20100319000053 |
| Provider Name | Larry M Ojeda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265541999 PECOS PAC ID: 0446162952 Enrollment ID: I20100327000141 |
| Provider Name | Walter C Vogel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629087085 PECOS PAC ID: 4981516499 Enrollment ID: I20100327000236 |
| Provider Name | Paul M Segal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720097165 PECOS PAC ID: 4082526595 Enrollment ID: I20100327000286 |
| Provider Name | Bhanu Paladugu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023042025 PECOS PAC ID: 2163422239 Enrollment ID: I20100329000483 |
| Provider Name | Cynthia J Rehbein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669438487 PECOS PAC ID: 4183751233 Enrollment ID: I20100421000272 |
| Provider Name | Jan P Deroos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528173762 PECOS PAC ID: 3678602943 Enrollment ID: I20100525000419 |
| Provider Name | Lief W. Erickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801901913 PECOS PAC ID: 4981512472 Enrollment ID: I20100528000581 |
| Provider Name | Deana L Courier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730198870 PECOS PAC ID: 9032240072 Enrollment ID: I20100708000404 |
| Provider Name | Craig A Haberman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285621805 PECOS PAC ID: 4183687437 Enrollment ID: I20100819000924 |
| Provider Name | Hilton M Hudson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1689614828 PECOS PAC ID: 7911984513 Enrollment ID: I20101005001324 |
| Provider Name | Helen Link |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447226857 PECOS PAC ID: 6901705813 Enrollment ID: I20101012001082 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | William Y Ansa Otu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
| Provider Name | Julia R Dewey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686729 PECOS PAC ID: 0941497739 Enrollment ID: I20101206000816 |
| Provider Name | Cynthia L Palabrica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265408009 PECOS PAC ID: 0446153118 Enrollment ID: I20101215001043 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20101217000896 |
| Provider Name | Karlie G Wellnitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083915318 PECOS PAC ID: 3375725757 Enrollment ID: I20110307000217 |
| Provider Name | Roger Kapoor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154501245 PECOS PAC ID: 3072783497 Enrollment ID: I20110823000221 |
| Provider Name | Nivedita Karmakar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275515462 PECOS PAC ID: 7517064066 Enrollment ID: I20110923000140 |
| Provider Name | Ashwin Uttam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891948089 PECOS PAC ID: 1153503396 Enrollment ID: I20111012000818 |
| Provider Name | Charles L Laham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669493359 PECOS PAC ID: 2860458890 Enrollment ID: I20120626000721 |
| Provider Name | Neel K Karne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871728014 PECOS PAC ID: 8325203888 Enrollment ID: I20120706000530 |
| Provider Name | Hatem M Dajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912099664 PECOS PAC ID: 9638235922 Enrollment ID: I20120917000615 |
| Provider Name | Rebecca White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386906030 PECOS PAC ID: 1951550961 Enrollment ID: I20121008000602 |
| Provider Name | Muhammad Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588844286 PECOS PAC ID: 9931393766 Enrollment ID: I20130611000072 |
| Provider Name | Maria Maria Anleu Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447367248 PECOS PAC ID: 8921077421 Enrollment ID: I20130712000546 |
| Provider Name | Jennifer Bleak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013124239 PECOS PAC ID: 0648410662 Enrollment ID: I20130715000611 |
| Provider Name | Matthew A Hoffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003871716 PECOS PAC ID: 9830323062 Enrollment ID: I20131001000584 |
| Provider Name | Terra E Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366875908 PECOS PAC ID: 1557596806 Enrollment ID: I20131023000583 |
| Provider Name | Brian T Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558791459 PECOS PAC ID: 1052548492 Enrollment ID: I20131211000067 |
| Provider Name | Javaid Iqbal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942304035 PECOS PAC ID: 4688564172 Enrollment ID: I20140102000489 |
| Provider Name | Howard S Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265429401 PECOS PAC ID: 3577718352 Enrollment ID: I20140415001597 |
| Provider Name | Jan G Mrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679607212 PECOS PAC ID: 5597717686 Enrollment ID: I20140703001881 |
| Provider Name | Therese M Lucietto-sieradzki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699708636 PECOS PAC ID: 5395706774 Enrollment ID: I20140909002691 |
| Provider Name | Nicole A Bindl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083801153 PECOS PAC ID: 5799904736 Enrollment ID: I20140924000553 |
| Provider Name | Sara A Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013312487 PECOS PAC ID: 7911229901 Enrollment ID: I20141202000922 |
| Provider Name | Margaret M Pearsall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023055910 PECOS PAC ID: 8022186584 Enrollment ID: I20150114000697 |
| Provider Name | Jenny A Managbanag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751198 PECOS PAC ID: 1254658164 Enrollment ID: I20150401002448 |
| Provider Name | Yehia K Khoga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063400810 PECOS PAC ID: 3072838978 Enrollment ID: I20150501001700 |
| Provider Name | Vijaya Somaraju |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033187216 PECOS PAC ID: 1850428392 Enrollment ID: I20150602000593 |
| Provider Name | Brianne C Thornton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841678786 PECOS PAC ID: 8820309016 Enrollment ID: I20150615000965 |
| Provider Name | Suzanne R Gudeman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013063536 PECOS PAC ID: 5890007298 Enrollment ID: I20150626000837 |
| Provider Name | Joseph K Kittah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073768438 PECOS PAC ID: 4183891948 Enrollment ID: I20150707003242 |
| Provider Name | Shannon E Mccormack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588924054 PECOS PAC ID: 7315178894 Enrollment ID: I20150716000293 |
| Provider Name | Luan Elezi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659635092 PECOS PAC ID: 5597077222 Enrollment ID: I20150721002140 |
| Provider Name | Jamie T Frantz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578794582 PECOS PAC ID: 7517285026 Enrollment ID: I20150721002588 |
| Provider Name | Shadi Nabieh Marina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972764041 PECOS PAC ID: 5496809428 Enrollment ID: I20150724009775 |
| Provider Name | Jodi L Zilinski |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1023213626 PECOS PAC ID: 3072770817 Enrollment ID: I20150807013838 |
| Provider Name | Madelene G Hamann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023485059 PECOS PAC ID: 1456668649 Enrollment ID: I20150921002561 |
| Provider Name | John R Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497887038 PECOS PAC ID: 4486758018 Enrollment ID: I20150925001403 |
| Provider Name | Maureen A Lillich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497796700 PECOS PAC ID: 6103972237 Enrollment ID: I20151104002267 |
| Provider Name | Jessica M Frantz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033183330 PECOS PAC ID: 7214233014 Enrollment ID: I20160303002180 |
| Provider Name | Georgien Dudzek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396167177 PECOS PAC ID: 6103120365 Enrollment ID: I20160624000103 |
| Provider Name | Judith Stucki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881653582 PECOS PAC ID: 9638338064 Enrollment ID: I20160808002017 |
| Provider Name | Kristy N Dygart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689027344 PECOS PAC ID: 4082909221 Enrollment ID: I20160826000371 |
| Provider Name | Nissage Cadet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528144235 PECOS PAC ID: 2860409125 Enrollment ID: I20170329001804 |
| Provider Name | Ellen M Rippl |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396277844 PECOS PAC ID: 0042596371 Enrollment ID: I20170420001841 |
| Provider Name | David K Yoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124023031 PECOS PAC ID: 5597668459 Enrollment ID: I20170511000099 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Jason Mcmaster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184990178 PECOS PAC ID: 3678892775 Enrollment ID: I20170628000995 |
| Provider Name | Leah F Farley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891052817 PECOS PAC ID: 0648401562 Enrollment ID: I20170712002996 |
| Provider Name | Srinivas Bhadriraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790796084 PECOS PAC ID: 1759363989 Enrollment ID: I20170727003000 |
| Provider Name | Farooq S Ghouri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20170807001962 |
| Provider Name | Daniel Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922412980 PECOS PAC ID: 4082985833 Enrollment ID: I20170812000027 |
| Provider Name | Andrea Stitgen Policano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376808998 PECOS PAC ID: 9739317215 Enrollment ID: I20170816003660 |
| Provider Name | Kevin M Tomera |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255385258 PECOS PAC ID: 4688569593 Enrollment ID: I20170920001661 |
| Provider Name | Ruth W Christiansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376079947 PECOS PAC ID: 8325313893 Enrollment ID: I20171010000082 |
| Provider Name | Mohamed Chebaclo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386708931 PECOS PAC ID: 0648280172 Enrollment ID: I20180117000700 |
| Provider Name | Ayhan A Zia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275632713 PECOS PAC ID: 0143371781 Enrollment ID: I20180309000264 |
| Provider Name | Betsy R Press |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871093393 PECOS PAC ID: 2961764113 Enrollment ID: I20180328000143 |
| Provider Name | Kari B Ziemba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376045856 PECOS PAC ID: 6800159336 Enrollment ID: I20180417000354 |
| Provider Name | Steven S Yang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053370353 PECOS PAC ID: 7214966571 Enrollment ID: I20180417002661 |
| Provider Name | Trisha L Field |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942703285 PECOS PAC ID: 5991060071 Enrollment ID: I20180604002455 |
| Provider Name | Gina M Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487150504 PECOS PAC ID: 9830454164 Enrollment ID: I20180607000665 |
| Provider Name | Melissa A Amberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366882797 PECOS PAC ID: 6901152024 Enrollment ID: I20180706001840 |
| Provider Name | Chitra Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336536648 PECOS PAC ID: 0749538239 Enrollment ID: I20180731001315 |
| Provider Name | Eric P Xanthopoulos |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457693079 PECOS PAC ID: 0840548046 Enrollment ID: I20180803002025 |
| Provider Name | Meredith A Maxey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962845941 PECOS PAC ID: 2860798212 Enrollment ID: I20180906000185 |
| Provider Name | Anisha Nandyala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548656838 PECOS PAC ID: 6406107713 Enrollment ID: I20180926001444 |
| Provider Name | Jason C Friedrichs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962610642 PECOS PAC ID: 4789742917 Enrollment ID: I20180926002692 |
| Provider Name | Indira Bhagwandin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952574394 PECOS PAC ID: 7012251416 Enrollment ID: I20181211002303 |
| Provider Name | Tamy E Perng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063628956 PECOS PAC ID: 5193862415 Enrollment ID: I20181213002484 |
| Provider Name | Fadi M Kara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942519533 PECOS PAC ID: 2264684018 Enrollment ID: I20181215000434 |
| Provider Name | Lee A Mcfadden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245398981 PECOS PAC ID: 0446491989 Enrollment ID: I20190403002228 |
| Provider Name | Ruth C Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154520195 PECOS PAC ID: 4082707898 Enrollment ID: I20190412002013 |
| Provider Name | Binn M Jatta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255565115 PECOS PAC ID: 8921236340 Enrollment ID: I20190501001645 |
| Provider Name | Cynthia L Philpott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053880690 PECOS PAC ID: 1456684729 Enrollment ID: I20190603000008 |
| Provider Name | Thuy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144679085 PECOS PAC ID: 0042583056 Enrollment ID: I20190620002783 |
| Provider Name | Charles Md Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912360355 PECOS PAC ID: 3476887118 Enrollment ID: I20190806002484 |
| Provider Name | Deepak Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194187690 PECOS PAC ID: 0143515445 Enrollment ID: I20190821004876 |
| Provider Name | Taylor J Tomczak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932765054 PECOS PAC ID: 5890023824 Enrollment ID: I20190828002690 |
| Provider Name | Eileen T Reilly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700865573 PECOS PAC ID: 4587665484 Enrollment ID: I20200214000494 |
| Provider Name | Samantha J Skowronski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558916536 PECOS PAC ID: 8123457843 Enrollment ID: I20200401000976 |
| Provider Name | Kathryn E Melloch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609434406 PECOS PAC ID: 3274962998 Enrollment ID: I20200401001220 |
| Provider Name | James H Whelan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578983144 PECOS PAC ID: 9830462076 Enrollment ID: I20200602000121 |
| Provider Name | Landon S Pryor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831306968 PECOS PAC ID: 8628177912 Enrollment ID: I20200708000743 |
| Provider Name | Lawrence Tse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972035517 PECOS PAC ID: 3375871635 Enrollment ID: I20200810002774 |
| Provider Name | Jennifer Sez Cho-escalante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083142202 PECOS PAC ID: 5597038992 Enrollment ID: I20200814001952 |
| Provider Name | Pierce Russell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982229191 PECOS PAC ID: 8325465032 Enrollment ID: I20200826002363 |
| Provider Name | Franklin E Lew |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1437596186 PECOS PAC ID: 1759521347 Enrollment ID: I20200911000185 |
| Provider Name | Long Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962817700 PECOS PAC ID: 1658606777 Enrollment ID: I20200917002959 |
| Provider Name | Jaime Gonzalez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114306537 PECOS PAC ID: 7618200429 Enrollment ID: I20200929000026 |
| Provider Name | Jahanzeb Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881121929 PECOS PAC ID: 0244659043 Enrollment ID: I20200929000080 |
| Provider Name | Andrea Martin |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1407268196 PECOS PAC ID: 6709001621 Enrollment ID: I20201012000788 |
| Provider Name | Charli Athena Mella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699203125 PECOS PAC ID: 7911327432 Enrollment ID: I20201021001717 |
| Provider Name | Brittany N R Blomberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598125072 PECOS PAC ID: 0446534978 Enrollment ID: I20201026001090 |
| Provider Name | Gretchen Rebecca Witowich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275776403 PECOS PAC ID: 3870739402 Enrollment ID: I20210130000098 |
| Provider Name | Jennifer Dochee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093992836 PECOS PAC ID: 2769657022 Enrollment ID: I20210419000896 |
| Provider Name | Michal Gutowski |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730613621 PECOS PAC ID: 5193076529 Enrollment ID: I20210602001719 |
| Provider Name | Iain William Decker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740718410 PECOS PAC ID: 6002164902 Enrollment ID: I20210730000446 |
| Provider Name | Zachary Adam Zimmerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265815187 PECOS PAC ID: 4385075779 Enrollment ID: I20210803000695 |
| Provider Name | Diane A Clark |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568055812 PECOS PAC ID: 3072919307 Enrollment ID: I20210910001990 |
| Provider Name | Xiaoxiao Catherine Guo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770931933 PECOS PAC ID: 6709178361 Enrollment ID: I20210921000329 |
| Provider Name | Brian N Ebo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528564960 PECOS PAC ID: 7618374489 Enrollment ID: I20210921001846 |
| Provider Name | Bailey A Tammen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437642535 PECOS PAC ID: 0143570754 Enrollment ID: I20210927000132 |
| Provider Name | Tyler J Esser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831697291 PECOS PAC ID: 3971900275 Enrollment ID: I20210929003014 |
| Provider Name | Alexandra E Newark |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568130003 PECOS PAC ID: 2769889930 Enrollment ID: I20210930002448 |
| Provider Name | Laquisha M Stahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518433564 PECOS PAC ID: 7416291455 Enrollment ID: I20211005003013 |
| Provider Name | Emily Kay Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881361145 PECOS PAC ID: 8628476165 Enrollment ID: I20211013001843 |
| Provider Name | Lauren G Kolar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700554441 PECOS PAC ID: 2668870023 Enrollment ID: I20211015000105 |
| Provider Name | Cody A Digiovanni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396411591 PECOS PAC ID: 4789072588 Enrollment ID: I20211028001236 |
| Provider Name | Michael A Segal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487151312 PECOS PAC ID: 7214287119 Enrollment ID: I20211124001941 |
| Provider Name | Miranda Coplien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336804640 PECOS PAC ID: 4981094141 Enrollment ID: I20211201002092 |
| Provider Name | David M Pierce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568826501 PECOS PAC ID: 1355634460 Enrollment ID: I20211202001152 |
| Provider Name | Hannah Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467119198 PECOS PAC ID: 0941690796 Enrollment ID: I20211209001564 |
| Provider Name | Anny Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861071896 PECOS PAC ID: 1355731910 Enrollment ID: I20211214001927 |
| Provider Name | Fadi Ghadban |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528139706 PECOS PAC ID: 7517933054 Enrollment ID: I20220112002666 |
| Provider Name | Hailee Mikkelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689335556 PECOS PAC ID: 8426440405 Enrollment ID: I20220125001893 |
| Provider Name | Daniel D So |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023167004 PECOS PAC ID: 2860437886 Enrollment ID: I20220126002533 |
| Provider Name | Erin Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396403689 PECOS PAC ID: 2961894860 Enrollment ID: I20220127000646 |
| Provider Name | Joshua Frederick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952750549 PECOS PAC ID: 9537450143 Enrollment ID: I20220204001628 |
| Provider Name | Mohammad Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376047647 PECOS PAC ID: 6608122742 Enrollment ID: I20220215002134 |
| Provider Name | Ketty Maurice |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053368043 PECOS PAC ID: 0446143382 Enrollment ID: I20220216000856 |
| Provider Name | Ling Twohig |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750523684 PECOS PAC ID: 9133301898 Enrollment ID: I20220316000326 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20220321001940 |
| Provider Name | Tabassum Y Nafsi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396931069 PECOS PAC ID: 3577797901 Enrollment ID: I20220413002346 |
| Provider Name | Renatta Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881325819 PECOS PAC ID: 8325428006 Enrollment ID: I20220712002424 |
| Provider Name | Nagesan Rajendran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497210694 PECOS PAC ID: 0840674792 Enrollment ID: I20220826001673 |
| Provider Name | Tyler A Durand |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962138719 PECOS PAC ID: 1153705884 Enrollment ID: I20220830002995 |
| Provider Name | James E Starr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245292549 PECOS PAC ID: 6002700283 Enrollment ID: I20220906003011 |
| Provider Name | Andrew Valliyil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760046007 PECOS PAC ID: 5395120406 Enrollment ID: I20220909001812 |
| Provider Name | Rebecca Olowu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770147100 PECOS PAC ID: 2769867779 Enrollment ID: I20220913000343 |
| Provider Name | Lauren Hart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295282887 PECOS PAC ID: 7214312784 Enrollment ID: I20220920000847 |
| Provider Name | Courtney Lockhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952689259 PECOS PAC ID: 0547582017 Enrollment ID: I20221212002580 |
| Provider Name | Brandon A Pelletier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114414307 PECOS PAC ID: 5597002998 Enrollment ID: I20230309001582 |
| Provider Name | Dawn M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952909277 PECOS PAC ID: 8325412091 Enrollment ID: I20230320002067 |
| Provider Name | Alfred P Rosche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962448332 PECOS PAC ID: 5799792271 Enrollment ID: I20230411001511 |
| Provider Name | Charles V Rinehart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891174504 PECOS PAC ID: 6901271683 Enrollment ID: I20230411001837 |
| Provider Name | Katie E Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114201613 PECOS PAC ID: 2163696709 Enrollment ID: I20230420001031 |
| Provider Name | Lucot Cherenfant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144425505 PECOS PAC ID: 4688748924 Enrollment ID: I20230608002928 |
| Provider Name | Michelle R Basye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366143968 PECOS PAC ID: 4688035512 Enrollment ID: I20230725002880 |
| Provider Name | Derek S Damrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770016008 PECOS PAC ID: 3476821695 Enrollment ID: I20230828001829 |
| Provider Name | Emily C Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437874930 PECOS PAC ID: 8022483031 Enrollment ID: I20230908000219 |
| Provider Name | Jordan R Hanrahan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023675840 PECOS PAC ID: 2163848268 Enrollment ID: I20231019001281 |
| Provider Name | Robert J Derby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104593060 PECOS PAC ID: 4183004989 Enrollment ID: I20231208000783 |
| Provider Name | Hanim K Apple |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891324737 PECOS PAC ID: 1052568243 Enrollment ID: I20240112003913 |
| Provider Name | Luqman Baloch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144753062 PECOS PAC ID: 9830466309 Enrollment ID: I20240125000554 |
| Provider Name | Amy Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851727242 PECOS PAC ID: 5092150771 Enrollment ID: I20240304003790 |
| Provider Name | Mary Polyock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538455340 PECOS PAC ID: 5395180939 Enrollment ID: I20240305001881 |
| Provider Name | Krishnan Srinivasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770579922 PECOS PAC ID: 9436047099 Enrollment ID: I20240311002959 |
Taylor Family Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 877-539-4949 | |
Bouc Family Wellness Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3005 Riverside Dr, Suite 101, Beloit, WI 53511 Phone: 608-365-7200 Fax: 608-365-7202 | |
Family Health Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 E Huebbe Pkwy, Beloit, WI 53511 Phone: 608-364-1348 Fax: 608-364-2338 | |
Beloit College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 College St, Beloit, WI 53511 Phone: 608-364-1348 Fax: 608-364-2236 | |
Beloit Area Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 74 Eclipse Ctr, Beloit, WI 53511 Phone: 608-361-0311 Fax: 608-361-6131 | |
Occupational Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Lee Ln, Beloit, WI 53511 Phone: 608-364-4666 |